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Organization

OLYMPUS HEALTHCARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAKIR MUKHI (SOLE PROPRIETER)
(718) 523-8600
Entity
Organization

Contact information

Practice address
16521 CHAPIN PKWY, JAMAICA, NY 11432-1807
(718) 523-8600
Mailing address
16521 CHAPIN PKWY, JAMAICA, NY 11432-1807

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
187169
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01355059
NY
Enumeration date
07/08/2006
Last updated
08/22/2020
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